Provider Demographics
NPI:1710063318
Name:DELLIGATTI, STEVE (DMD)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:DELLIGATTI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 WALMERE WAY
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2475
Mailing Address - Country:US
Mailing Address - Phone:215-283-2440
Mailing Address - Fax:
Practice Address - Street 1:7 E SKIPPACK PIKE STE 105
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5308
Practice Address - Country:US
Practice Address - Phone:215-283-2440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031283L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics